Miracle Place INC
NPI #1487028163 in Bastrop, Louisiana
Provider Information
- NPI Number
- 1487028163
- Entity Type
- Organization
- Organization Name
- Miracle Place INC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 18, 2015
- Last Updated
- Nov 18, 2015
Practice Location
Authorized Official
- Name
- CYNTHIA TAYLOR
- Title
- ADMINISTRATOR
- Phone
- (318) 509-9376
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Community/Behavioral Health |
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